Non-secretory multiple myeloma with unusual TFG-ALK fusion showed dramatic response to ALK inhibition

Abstract Non-secretory multiple myeloma (NSMM) constitutes a distinct entity of multiple myeloma characterized by the absence of detectable monoclonal protein and rarely an absence of free light chains in the serum and urine. Given its rarity, the genomic landscape, clinical course, and prognosis of...

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Autores principales: Ashiq Masood, Trevor Christ, Samia Asif, Priya Rajakumar, Beth A. Gustafson, Leyla O. Shune, Ameen Salahudeen, Drew Nedvad, Suparna Nanua, Agne Paner, Timothy M. Kuzel, Mia Levy, Janakiraman Subramanian, Shahzad Raza
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/31e8f416ebe34f07bee1c287af92fbac
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spelling oai:doaj.org-article:31e8f416ebe34f07bee1c287af92fbac2021-12-02T13:17:50ZNon-secretory multiple myeloma with unusual TFG-ALK fusion showed dramatic response to ALK inhibition10.1038/s41525-021-00186-92056-7944https://doaj.org/article/31e8f416ebe34f07bee1c287af92fbac2021-03-01T00:00:00Zhttps://doi.org/10.1038/s41525-021-00186-9https://doaj.org/toc/2056-7944Abstract Non-secretory multiple myeloma (NSMM) constitutes a distinct entity of multiple myeloma characterized by the absence of detectable monoclonal protein and rarely an absence of free light chains in the serum and urine. Given its rarity, the genomic landscape, clinical course, and prognosis of NSSM are not well characterized. Here, we report a case of a patient with relapsed and refractory NSMM with brain metastasis harboring a TFG-ALK fusion showing a dramatic and durable (over two years) response to commercially available anaplastic lymphoma kinase (ALK) inhibitors. The case emphasizes the beneficial role of molecular profiling in this target-poor disease.Ashiq MasoodTrevor ChristSamia AsifPriya RajakumarBeth A. GustafsonLeyla O. ShuneAmeen SalahudeenDrew NedvadSuparna NanuaAgne PanerTimothy M. KuzelMia LevyJanakiraman SubramanianShahzad RazaNature PortfolioarticleMedicineRGeneticsQH426-470ENnpj Genomic Medicine, Vol 6, Iss 1, Pp 1-5 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Genetics
QH426-470
spellingShingle Medicine
R
Genetics
QH426-470
Ashiq Masood
Trevor Christ
Samia Asif
Priya Rajakumar
Beth A. Gustafson
Leyla O. Shune
Ameen Salahudeen
Drew Nedvad
Suparna Nanua
Agne Paner
Timothy M. Kuzel
Mia Levy
Janakiraman Subramanian
Shahzad Raza
Non-secretory multiple myeloma with unusual TFG-ALK fusion showed dramatic response to ALK inhibition
description Abstract Non-secretory multiple myeloma (NSMM) constitutes a distinct entity of multiple myeloma characterized by the absence of detectable monoclonal protein and rarely an absence of free light chains in the serum and urine. Given its rarity, the genomic landscape, clinical course, and prognosis of NSSM are not well characterized. Here, we report a case of a patient with relapsed and refractory NSMM with brain metastasis harboring a TFG-ALK fusion showing a dramatic and durable (over two years) response to commercially available anaplastic lymphoma kinase (ALK) inhibitors. The case emphasizes the beneficial role of molecular profiling in this target-poor disease.
format article
author Ashiq Masood
Trevor Christ
Samia Asif
Priya Rajakumar
Beth A. Gustafson
Leyla O. Shune
Ameen Salahudeen
Drew Nedvad
Suparna Nanua
Agne Paner
Timothy M. Kuzel
Mia Levy
Janakiraman Subramanian
Shahzad Raza
author_facet Ashiq Masood
Trevor Christ
Samia Asif
Priya Rajakumar
Beth A. Gustafson
Leyla O. Shune
Ameen Salahudeen
Drew Nedvad
Suparna Nanua
Agne Paner
Timothy M. Kuzel
Mia Levy
Janakiraman Subramanian
Shahzad Raza
author_sort Ashiq Masood
title Non-secretory multiple myeloma with unusual TFG-ALK fusion showed dramatic response to ALK inhibition
title_short Non-secretory multiple myeloma with unusual TFG-ALK fusion showed dramatic response to ALK inhibition
title_full Non-secretory multiple myeloma with unusual TFG-ALK fusion showed dramatic response to ALK inhibition
title_fullStr Non-secretory multiple myeloma with unusual TFG-ALK fusion showed dramatic response to ALK inhibition
title_full_unstemmed Non-secretory multiple myeloma with unusual TFG-ALK fusion showed dramatic response to ALK inhibition
title_sort non-secretory multiple myeloma with unusual tfg-alk fusion showed dramatic response to alk inhibition
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/31e8f416ebe34f07bee1c287af92fbac
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